james note MCQ

Description

Medicine (Esophgeal bleeding) Quiz on james note MCQ, created by zhang shiying on 04/10/2016.
zhang shiying
Quiz by zhang shiying, updated more than 1 year ago
zhang shiying
Created by zhang shiying over 7 years ago
14
1

Resource summary

Question 1

Question
evelop when hepatic venous pressure gradient >?mmHg
Answer
  • 12
  • 13
  • 14

Question 2

Question
In james notes,he write 8part about Esophageal variceal bleeding , the 8parts are backgrounds,pathogenesis,presentations,and ?
Answer
  • How to predict bleeding risk from OV ,Secondary prophylaxis against variceal bleeding ,Prevention of varices and first variceal bleeding ,Treatment of acute variceal bleeding ,Prevention of recurrent variceal bleeding
  • How to predict bleeding risk from OV ,Primary prophylaxis against variceal bleeding ,Prevention of varices and first variceal bleeding ,Treatment of chronic variceal bleeding ,Prevention of recurrent variceal bleeding
  • How to predict bleeding risk from OV ,Primary prophylaxis against variceal bleeding ,Prevention of varices and first variceal bleeding ,Treatment of acute variceal bleeding ,Prevention of recurrent variceal bleeding

Question 3

Question
What is the Presentation of ego bleeding?(多选题)
Answer
  • Hematemesis,
  • tarry stool
  • features of chronic liver disease (e.g. thrombocytopenia due to hypersplenism)
  • hepatic encephalopathy (↑ ammonia due to breakdown of RBC)
  • dizziness
  • jaundice
  • red wale sign

Question 4

Question
How to predict bleeding risk from OV? (多选题)
Answer
  • Child's B$C cirrhosis
  • $ Platelet count (/mm3) to spleen size (maximum bipolar diameter by USG in mm)
  • $ Large varices
  • arising blood ammonia
  • $ Red wale sign (surface of varices is stretched)
  • ascite

Question 5

Question
In james notes, how many kinds of varies should be the Prevention of varices and first variceal bleeding ?(多选题)
Answer
  • $ Small varices + no red wale marks, no severe liver disease
  • Small varices + red wale marks/ severe liver disease
  • Large varices

Question 6

Question
In Small varices + no red wale marks, no severe liver disease , we should use Nonselective beta$blockers; OR Endoscopic variceal ligation
Answer
  • True
  • False

Question 7

Question
In Treatment of acute variceal bleeding , we use terlipressin as 1st line vasoactive agents.
Answer
  • True
  • False

Question 8

Question
In Treatment of acute variceal bleeding ,the key points are stop bleeding and Prevent SBP.
Answer
  • True
  • False
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